DR. Wendell Ellis Grimes, D.D.S.

NPI #1720036221 in Baker, Louisiana

Provider Information

NPI Number: 1720036221
Entity Type: Individual
Name: DR. Wendell Ellis Grimes, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 5, 2006
Last Updated: Sep 12, 2016

Practice Location

Address: 1806 MAIN ST
City: Baker
State: Louisiana
ZIP Code: 70714-2842
Phone: (225) 775-1388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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